Opportunity Information: Apply for CDC RFA CK19 1902
This CDC funding opportunity (CDC RFA CK19-1902) supports a cooperative agreement focused on strengthening the overseas medical examinations that immigrants and refugees must complete before traveling to the United States. These exams are required under U.S. immigration law, including section 232 of the Immigration and Nationality Act, and are governed by HHS/CDC regulations (CDC Part 34, Medical Examination of Aliens). Under those rules, the medical exams must follow CDC-issued Technical Instructions, which are developed and updated by CDCs Division of Global Migration and Quarantine. The exams are carried out overseas by panel physicians, who are licensed, experienced physicians practicing outside the United States and designated by U.S. Embassies and Consulates through the Department of State. There are more than 760 panel physicians worldwide performing these pre-departure examinations.
The underlying purpose of the medical examination is to help the Department of State and the Department of Homeland Security identify health-related conditions that may make an applicant inadmissible on public health grounds. The review covers several main categories: communicable diseases of public health significance (as defined in regulation and CDC policy), lack of required documentation showing vaccination against vaccine-preventable diseases, certain physical or mental disorders when associated with harmful behavior, and drug abuse or addiction. In short, the exam is both a clinical evaluation and a regulatory screening tool meant to protect public health and ensure that applicants meet statutory health-related admissibility requirements.
The program goal of this grant is to improve the quality, consistency, and operational performance of these overseas medical examinations for U.S.-bound immigrants and refugees, aligning with the Healthy People 2020 Global Health focus area. Rather than paying for individual exams, the grant is aimed at systems improvement: better communication, better training, clearer standards, and smoother panel-site operations so that physicians across many countries apply the Technical Instructions correctly and consistently.
The recipient (grantee) is expected to implement several core activities. First, the grantee must develop a website designed to support panel physicians by providing an information exchange platform along with links to technical resources and training materials. Second, the grantee must develop and distribute a regular newsletter that delivers technical updates and timely guidance to panel physicians, helping them keep up with changes in Technical Instructions, procedures, and best practices. Third, the grantee must provide on-site training to panel physicians with an emphasis on proficiency in CDC Technical Instructions; this can include traveling to panel sites, providing hands-on technical assistance, and participating in CDC-run seminars or similar training events. Fourth, the grantee must develop a set of proficiency standards or accreditation criteria that can be used worldwide to define and measure expected performance for panel physicians, supporting more uniform quality assurance across countries and sites. Fifth, the grantee must continue developing and implementing a panel-site efficiency program to improve the logistics, workflow, and management of exam sites, recognizing that operational bottlenecks and inconsistent processes can affect timeliness, documentation quality, and overall reliability.
This opportunity is structured as a cooperative agreement, meaning CDC is not a passive funder and will be substantially involved in execution beyond normal grant oversight. CDCs role includes collaborating closely with the grantee to set priorities across the activity areas, holding regular meetings and maintaining ongoing communication to keep the work aligned with program needs. CDC will provide consultation, guidance, and technical assistance, including specialized support in areas like strategic information and project management. CDC will also help the grantee report results and disseminate recommendations and relevant medical exam information in English and local languages in origin countries, which is important because panel physicians and local staff operate in diverse linguistic environments.
In addition, CDC will participate in evaluation and performance monitoring by jointly reviewing operations and analyzing monitoring data to assess how well interventions are working. CDC retains significant review and approval functions, including recommendations on how the grantee selects key personnel and any subcontractors or subgrantees, approval of annual work plans and detailed budgets, and approval of the monitoring and evaluation plan. Financial and performance accountability are emphasized: CDC plans monthly check-ins to compare expenditures to the approved work plan and adjust as needed, plus annual meetings to review progress reports and approve subsequent-year plans and budgets. CDC will also provide administrative support to help the recipient comply with U.S. government financial and reporting requirements.
From an administrative standpoint, the opportunity was issued by HHS/CDC (NCEZID) under CFDA 93.318 as a discretionary award using a cooperative agreement mechanism. Eligibility is listed as unrestricted (open to any type of entity unless otherwise clarified in the full notice). The anticipated award structure included a single expected award, with an award ceiling of $500,000. The notice was created February 14, 2019, with an original application deadline of April 15, 2019 (electronic applications due by 11:59 p.m. ET). Overall, the grant is designed to build a stronger global support and quality framework for panel physicians so that overseas medical examinations are accurate, consistent, efficient, and closely aligned with CDC Technical Instructions and U.S. immigration health requirements.Apply for CDC RFA CK19 1902
- The Department of Health and Human Services, Centers for Disease Control - NCEZID in the health sector is offering a public funding opportunity titled "Performing Regulatory-Required Medical Examinations for U.S. Bound Populations by US Screening Physicians" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.318.
- This funding opportunity was created on Feb 14, 2019.
- Applicants must submit their applications by Apr 15, 2019 Electronically submitted applications must be submitted no later than 1159 p.m., ET, on the listed application due date.. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- Each selected applicant is eligible to receive up to $500,000.00 in funding.
- The number of recipients for this funding is limited to 1 candidate(s).
- Eligible applicants include: Unrestricted (i.e., open to any type of entity above), subject to any clarification in text field entitled Additional Information on Eligibility.
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